Tag: compliance

Largest US healthcare fraud case reveals billions in false Medicare, Medicaid claims and vast schemes nationwide

Editor's Note The US Department of Justice (DOJ) has conducted the largest healthcare fraud takedown in US history, charging 324 individuals, including 96 licensed medical professionals, in schemes totaling more than $14.6 billion, HealthCare Business News July 8 reports. The nationwide crackdown involved 50 federal districts and 12 state attorneys…

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By: Tarsilla Moura
August 19, 2025
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ASCs face growing pressure to centralize implant management as specialty volumes surge

Ambulatory surgery centers (ASCs) are taking on more high-acuity, same-day procedures than ever before. This growth is driven by evolving clinical protocols, cost-conscious reimbursement strategies, and expanded capabilities in outpatient care. Specialties like orthopedics, spine, ophthalmology, and cardiovascular care are moving more complex cases—and the implants that come with them—out…

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By: Tracey Berkowitz
August 19, 2025
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Leveraging technology to streamline ASC operations, optimize patient care

As we celebrate National ASC Month, it is worth recognizing how central ambulatory surgery centers (ASCs) have become to modern healthcare. Today, there are more than 12,000 ASCs across the US, including over 6,500 Medicare-certified facilities operating some 18,800 surgical suites. With over 80% of all surgical procedures being performed…

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By: Emily Spooner
August 19, 2025
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5 costly mistakes to avoid when building an ASC

Editor's Note Poor planning and rushed decisions derail too many ambulatory surgery centers (ASCs) before they open their doors. In a recent blog post, ASC consultant Emily Spooner outlined the top five errors commonly made during ASC development, offering targeted guidance on how to avoid them. According to the post,…

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By: Tarsilla Moura
August 12, 2025
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CNOs urged to ready nurses for ICE encounters under new hospital enforcement rules

Editor's Note Hospitals are no longer protected from immigration enforcement, placing a new burden on chief nursing officers (CNOs) to ensure their teams are prepared, HealthLeaders June 2 reports. As of January 20, the Trump Administration revoked prior federal guidance that designated hospitals as “sensitive locations,” allowing Immigration and Customs…

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By: Tarsilla Moura
June 9, 2025
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Leaders translate legislative priorities to perioperative practice

The wave of new legal requirements for surgical smoke evacuation across the country has given OR leaders a crash course in how to act on any new legislation. Based on this experience, complying with other new and pending laws will put these skills to the test. Major hurdles are likely…

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By: Carina Stanton
June 5, 2025
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AHA urges HHS to cut regulations that burden hospitals and staff

Editor's Note The American Hospital Association (AHA) has called on the Department of Health and Human Services (HHS) to eliminate or ease a variety of federal regulations, arguing that excessive administrative rules drive up costs, reduce patient access, and hinder innovation, Modern Healthcare reported May 13. According to the article,…

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By: Matt Danford
May 16, 2025
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As healthcare faces skyrocketing cyberattacks, surgeons are urged to lead frontline defense

Editor’s Note Healthcare organizations are hemorrhaging millions to cybercrime and turning to medical staff as unlikely but indispensable defenders in the face of this growing threat. As detailed in a Cyber Security News April 29 article, healthcare remains the most expensive industry for data breaches, with the average cost reaching…

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By: Tarsilla Moura
April 30, 2025
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Study shows WHO surgical checklist boosts safety, but compliance gaps risk patient outcomes

Editor’s Note Tertiary hospitals are embracing the World Health Organization (WHO) Surgical Safety Checklist (SSC), yet inconsistent compliance—especially during time-out—exposes patients to avoidable risks, Cureus April 29 reports. In this study, the researchers found that while overall integration of the SSC is promising, there were compliance gaps particularly in pre-incision…

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By: Tarsilla Moura
April 30, 2025
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OAS CAHPS compliance soars to 96% among ASCs, vendor satisfaction also improves

Editor's Note Ambulatory surgery centers (ASCs) across the US have quickly adapted to the new federal requirement mandating participation in the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey, according to a March 2025 "60-Second Survey" from ASCA. The survey captured responses from 261…

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By: Tarsilla Moura
April 16, 2025
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